NPIMap

Organization Active NPI

Shelton School and Evaluation Center

Doing business as Shelton Evaluation Center

  • Adolescent and Children Mental Health Clinic/Center
  • Dallas, TX
National Provider Identifier
1033379755
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
14136 Issued in TX
Legal business name
SHELTON SCHOOL AND EVALUATION CENTER
Doing business as
Shelton Evaluation Center
Practice address
15720 Hillcrest Rd
Dallas, TX 75248-4161
Phone
(972) 774-1772
Fax
(972) 720-8217
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Susan Garner Fleming, PH.D.
Title
Director, Shelton Evaluation Center
Phone
(972) 774-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 14136 TX Primary

Addresses

Primary practice location

15720 Hillcrest Rd
Dallas, TX 75248-4161

Mailing address

15720 Hillcrest Rd
Dallas, TX 75248-4161
Phone (972) 774-1772

Other names 1

  • Shelton Evaluation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shelton Evaluation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1033379755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 HILLCREST RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484161",
            "telephone_number": "972-774-1772",
            "fax_number": "972-720-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 HILLCREST RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484161",
            "telephone_number": "972-774-1772",
            "fax_number": "972-720-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON SCHOOL AND EVALUATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "GARNER",
        "authorized_official_title_or_position": "DIRECTOR, SHELTON EVALUATION CENTER",
        "authorized_official_telephone_number": "972-774-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "14136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelton Evaluation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.